Individual provider · Type 1 NPI

Paul Charles Jackson, PTA

Physical Therapy Assistant · Sierra Vista, AZ

NPI number 1639339443 Active

Practice location

660 S Coronado Dr
Sierra Vista, AZ 85635-3386

Call (520) 459-4900 Map

Mailing address

5446 S San Paulo Ave
Sierra Vista, AZ 85650-9356

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7580A (AZ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1639339443

Paul Charles Jackson, PTA's National Provider Identifier is 1639339443, issued on Jun 16, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sierra Vista, AZ. The record was last updated on Jun 16, 2008.